Endoloop-Assisted Transoral Outlet Reduction As a Novel And Cost-Effective Treatment for Weight Regain After Roux-En-Y Gastric Bypass

P. Mekaroonkamol; S. Sattawatthamrong; K. Tantitanawat; A. Asumpinawong; K. Tiankanon; P. Angsuwatcharakon; P. Kongkam; S. Udomsawaengsup; R. Rerknimitr

doi:10.1055/s-0043-1765855

Endoscopy, Table of Contents

Endoscopy 2023; 55(S 02): S307
DOI: 10.1055/s-0043-1765855

Abstracts | ESGE Days 2023

ePoster

Endoloop-Assisted Transoral Outlet Reduction As a Novel And Cost-Effective Treatment for Weight Regain After Roux-En-Y Gastric Bypass

Authors

P. Mekaroonkamol

¹Chulalongkorn University, Bangkok, Thailand

²King Chulalongkorn Memorial Hospital, Bangkok, Thailand
S. Sattawatthamrong

¹Chulalongkorn University, Bangkok, Thailand
K. Tantitanawat

²King Chulalongkorn Memorial Hospital, Bangkok, Thailand
A. Asumpinawong

²King Chulalongkorn Memorial Hospital, Bangkok, Thailand
K. Tiankanon

¹Chulalongkorn University, Bangkok, Thailand

²King Chulalongkorn Memorial Hospital, Bangkok, Thailand
P. Angsuwatcharakon

¹Chulalongkorn University, Bangkok, Thailand
P. Kongkam

¹Chulalongkorn University, Bangkok, Thailand
S. Udomsawaengsup

¹Chulalongkorn University, Bangkok, Thailand
R. Rerknimitr

¹Chulalongkorn University, Bangkok, Thailand

Abstract

Full Text

Abstract Text Herein, we first describe “endoloop-assisted transoral outlet reduction (e-TORe)”, a novel technique using readily available, non-technically demanding, and economical accessories for a 36-year-old male who developed 25.96% weight regain from nadir after Roux-en-Y gastric bypass (RYGB). After ablated with argon plasma coagulation, the gastrojejunal anastomosis (GJA) was fixed circumferentially using an endoloop and 8-10 hemoclips. The endoloop was then tightened over a 6-mm balloon. At 3-month, GJA remained strictured and the patient achieved 10.5% total weight loss. e-TORe is a safe and effective endoscopic procedure for post-RYGB patients with weight regain.